			<div id="parfums_left_b_form">
				<br />
				{{=trad('Please choose which sample you would like to receive:', APPLNG)}}
			</div>

			<div id="parfums_right_h1_form">
				<h1>
					{{=trad('Choose Sample', APPLNG)}}
				</h1>
			</div>
			
			<div class="clear15">&nbsp;</div>
			{{if($this -> cdg2 == true):}}
			<div id="parfums_left_form_499">
				<p class="shoplinks">&#9658;&nbsp; <a href="{{=URL_SITE}}free-sample-perfume/comme-des-garcons-2/form/">CDG2</a></p>
				<p><a href="{{=URL_SITE}}free-sample-perfume/comme-des-garcons-2/form/"><img alt="Free perfume samples - Comme des Garcons 2 - Comme des Garçons" title="Free perfume samples - Comme des Garçons 2 - Comme des Garcons" src="{{=URL_SITE}}img/sample.jpg" style="border:none;" /></a></p>
			</div>
			{{endif;}}
			{{if($this -> ww == true):}}
			<div id="parfums_right_form_391">
				<p class="shoplinks">&#9658;&nbsp; <a href="{{=URL_SITE}}free-sample-perfume/wonderwood/form/">Wonderwood</a></p>
				<p><a href="{{=URL_SITE}}free-sample-perfume/wonderwood/form/"><img alt="Free perfume samples - Wonderwood - Comme des Garçons" title="Free perfume samples - Wonderwood - Comme des Garçons" src="{{=URL_SITE}}img/sample_ww.jpg" style="border:none;" /></a></p>
			</div>
			{{endif;}}